HB 220 Texas House · 89th Legislature (2025)

Relating to the care provided to sexual assault survivors by health care facilities.

HB 220 requires Texas healthcare facilities treating sexual assault survivors to provide specific care standards. It mandates: forensic medical exams per state codes, private waiting areas, access to sexual assault advocates (if available), crisis center contact information, private treatment rooms (if available), STI prophylaxis when needed, free showers (if facilities offer them), and emergency contraception with consent and clinical indication. The bill directly affects sexual assault survivors seeking medical care and healthcare facilities across Texas. If passed, these requirements would take effect September 1, 2025.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

May 2025

House Passage

Apr 2025

Senate Passage

Governor

Introduced Feb 27, 2025 Last action May 25, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 4 edits · Apr 29, 2025

MODERATE

This bill adds a new provision prohibiting health care facilities from offering or providing drugs or devices that terminate a pregnancy to sexual assault survivors, while maintaining existing requirements for forensic exams, private waiting areas, and other supportive care services. The change introduces a significant restriction on reproductive health options available to survivors seeking care after sexual assault.

Scope change

The bill's scope remains focused on sexual assault survivor care, but now includes a new prohibition on pregnancy termination services that did not exist in the original version.

REQUIREMENT

Added new subsection (b-2) prohibiting health care facilities from providing or offering drugs or devices that terminate a pregnancy to sexual assault survivors.

Modified subsection (b)(9) to specify that emergency contraceptives must work by delaying ovulation rather than preventing implantation.

TECHNICAL

Removed metadata headers and formatting elements from the original bill text.

Added digital accessibility statement regarding WCAG 2.1 standards.

Floor votes · House Apr 28, 2025

How they voted

102–39

Passed · 5 other

Total votes 146

Apr 28, 2025

D Democratic60

58 Yea 2

96% Yea

R Republican86

44 Yea 39 Nay 3

51% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 25, 2025

Upper · Passed

Left pending in committee

upper

May 25, 2025

Upper · Passed

Testimony taken in committee

upper

May 22, 2025

Committee

Referred to State Affairs

upper

May 22, 2025

Introduced

Read first time

upper

Apr 29, 2025

Introduced

Received from the House

upper

Apr 29, 2025

Lower · Passed

Passed

lower

Apr 28, 2025

Lower · Passed

Passed to engrossment

lower

Apr 16, 2025

Lower · Passed

Committee report sent to Calendars

lower

Apr 15, 2025

Lower · Passed

Committee report distributed

lower

Apr 7, 2025

Lower · Passed

Reported favorably as substituted

lower

Mar 31, 2025

Lower · Passed

Left pending in committee

lower

Mar 31, 2025

Lower · Passed

Testimony taken/registration(s) recorded in committee

lower

Feb 27, 2025

Committee

Referred to Public Health

lower

Feb 27, 2025

Introduced

Read first time

lower

6 primary · 18 co-sponsors